Individual
DR. RIVERO RIDER RIVERA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 MINNEQUA AVE BLDG SUITE115, PUEBLO, CO 81004-3733
(719) 557-5855
(719) 557-5097
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0077072
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0010253
CO
Other
Enumeration date
03/25/2024
Last updated
02/16/2026
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